Individual
JODI LYNN MANSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 521-7777
(978) 521-7767
Mailing address
60 MERRIMACK ST, HAVERHILL, MA 01830-6207
(978) 521-7777
(978) 521-7767
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154302586
—
MA
Enumeration date
04/09/2013
Last updated
04/29/2013
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